Individual
DR. FAHAD GUL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2321 BATTLEGROUND AVE, GREENSBORO, NC 27408-5422
(336) 355-4554
Mailing address
477 GIBBS POND RD, NESCONSET, NY 11767-2108
(347) 326-0440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12990
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GK74054M
—
NY
Enumeration date
11/02/2020
Last updated
08/23/2022
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